<!-- SimpleRegistration.html -->
<html>
  <head>
    <title>Simple Registration without Confirmation</title>
  </head>
  <body>
    Please register to your instructor's student address book.

    <form method = "post" action = "SimpleRegistration">
      <p>Last Name <font color = "#FF0000">*</font>
         <input type = "text" name = "lastName">&nbsp;
         First Name <font color = "#FF0000">*</font>
         <input type = "text" name = "firstName">&nbsp;
         MI <input type = "text" name = "mi" size = "3">
      </p>
      <p>Telephone 
         <input type = "text" name = "telephone" size = "20">&nbsp;
         Email 
         <input type = "text" name = "email" size = "28">&nbsp;
      </p>
      <p>Street <input type = "text" name = "street" size = "50">
      </p>
      <p>City <input type = "text" name = "city" size = "23">&nbsp;
         State 
         <select size = "1" name = "state">
           <option value = "GA">Georgia-GA</option>
           <option value = "OK">Oklahoma-OK</option>
           <option value = "IN">Indiana-IN</option>
         </select>&nbsp;
         Zip <input type = "text" name = "zip" size = "9">
      </p>
      <p><input type = "submit" name = "Submit" value = "Submit">
         <input type = "reset" value = "Reset">
      </p>
    </form>
    <p><font color = "#FF0000">* required fields</font></p>
  </body>
</html>
